HomeMy WebLinkAbout3748 Benthaven St - Applications/Reroof - 01/21/2015Jan,13, 2015 2:22PM ADVANCED ROOFING No,7966 P. 1
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4 Cvt �t 1 .. For N, Coliece Ave[, ?,O, Bo' B$0
�r Fort � Co;fns, CO 30_�
.. r cne 910`=:p-2/40 i ex G�G-�%'2. .
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Property Owner Name
Addre
Citte�cr o Z;o 705' 3 cf
?Iona 97
^� li¢rt Mamie
(�L1pV&-nsC_� P"Do'i= i roc=
Address
Zip.
Phone
TC-LA-�d� �E5 44
b
S �c�h�. !JJ N)c)nk co 8D5 a
( 1.
Cont actor LIC r
Address
Oty/Stela lip
Phone
WL 1 y"
)1
Ll S l'Yl
Cone actor Gi[y of Fr. Collins Sal Tax =
521eSWnurnoerrsrrarired5ya9corrCacyvs
5�i�
are you paying't�xas ;,era or by repo, �? n Hera
Are
0 n Do
aClDS(D
you payfny with your trust account? _Yes
u No .
xs this a rzidentlal or commerdal projer? )(Residential ❑ Commerdsl
If.esidenaal s -51ng y a . ..
Cb�dO/iCWni`iOme (_(ilClc i=mliy Ti2Cled) _t pupleX
❑ Multr-amily (apari'Tnent) ❑ Garage
If cornmerdai, is.t. q Bank ❑ 8ar t7 Chun 1 O ro�=.1/hicc_I q Me,; c ;lca I Y
q' d;7c_ u Re; ti
Rasturant ❑ outer (axplain)
Is this:buiiding 50 yaa s af.age or Moro? ❑ Yes i; No YyY se You m?Ynesd"ra �ntaci'fscnc?reseriarorl
If this is for a demclitioi7 perm, t, what year was the buildij)g carsurad�
if Orioi'to 1575, You wi// need an zs, estcs �ss255t eni str6r7r� wi h Fhis applicaycn.
Description of work
A n n _- r 9,
*If Icwn sprin1der/'o2dgfow pr2ver,,4e'r, nLgS Ilsi IICenSad pIl'rrlieC. Ii Tii �� C:fne � °•� I ar•--rJ �.r.� `
A/C, Mes ii� ic_, ,�,car,.
S UbCO ntz2c ors: Ls
&e can, piny name or Gty cr'F Cq//irs se r
E!e der. Ffumb2r
Geer
1'nereoy aGtihowleoge Fiat 1 have read obis 2pclicabon and s.2te thF—L b` a above Irdor.rjaton !s COrRCic ° 'and C0rr2?. : ag( t�
comply wi�i•zq r2Pulremen� r•nMiled herein and. ciiy 0rQin2nCES and St'ctc lays rzgul8iin0 wilding const action. I know :;Mat a
Pel mi<is nct valid until it has been paid and issued.
Applicant: '}r./'�{
Print Name; 1 I ^� Signature
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